:: Volume 15, Issue 4 (Winter 2021) ::
Iranian J Nutr Sci Food Technol 2021, 15(4): 31-39 Back to browse issues page
Maternal Macronutrient and Micronutrient Intakes during Pregnancy and their Associations with BMI for-Age z-Scores at Birth: A Cohort Study in Tehran
T Karimi , H Eini- Zinab , Z Moslemi , A Rezazadeh * , K Pourvali
Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran , arezoo.rezazadeh@gmail.com
Abstract:   (2147 Views)
Background and Objectives: Maternal dietary intakes during pregnancy play vital roles on fetus growth and birth outcomes. The aim of this study was to investigate relationships between the maternal dietary intakes during pregnancy and body mass index for-age z-scores (BAZ) at birth.
 Materials & Methods: This cohort study was carried out on 342 pregnant women referring to public health centers and hospitals under coverage of Shahid Beheshti, Tehran and Iran universities of Medical Sciences in Tehran city. Dietary intake information was obtained by completing two non-consecutive 24-h recalls at Weeks 31–34 of gestation. The final infant birth anthropometric measurements were carried out using health records. Associations were analyzed using linear regression by further adjustment for confounding factors.
Results: BAZ at birth was directly associated with fat and trans-fatty acid and negatively associated with poly-unsaturated fatty acids intake of mother during pregnancy. BAZ was also directly related to maternal dietary intake of magnesium, phosphorus, folate, niacin, and vitamin C and inversely related to calcium intake during pregnancy (p < 0.05). 
Conclusion: Maternal dietary intakes was associated with neonatal anthropometry status. Nutritional assessment during pregnancy seems to be necessary to ensure the optimal intakes of micronutrients and macronutrients by mothers.
Keywords: Cohort study, Macronutrient, Micronutrient, Pregnancy, BMI for-age z-score
Full-Text [PDF 551 kb]   (771 Downloads)    
Article type: Research | Subject: nutrition
Received: 2020/02/9 | Accepted: 2020/08/18 | Published: 2020/12/20
References
1. Chen L-W, Aris IM, Bernard JY, Tint M-T, Colega M, Gluckman PD, et al. Associations of maternal macronutrient intake during pregnancy with infant BMI peak characteristics and childhood BMI. The American journal of clinical nutrition. 2017;105(3):705-13. [DOI:10.3945/ajcn.116.148270]
2. Shaikh F, Zeeshan F, Hakeem R, Basit A, Fawwad A, Hussain A. Maternal dietary intake and anthropometric measurements of newborn at birth. The Open Diabetes Journal. 2014;7(1):14-9. [DOI:10.2174/1876524601407010014]
3. Nurliyana AR, Shariff ZM, Taib MNM, Gan WY, Tan K-A. Early nutrition, growth and cognitive development of infants from birth to 2 years in Malaysia: a study protocol. BMC pediatrics. 2016;16(1):160. [DOI:10.1186/s12887-016-0700-0]
4. Wrottesley S, Lamper C, Pisa P. Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women. Journal of developmental origins of health and disease. 2016;7(2):144-62. [DOI:10.1017/S2040174415001439]
5. Saaka M. Maternal dietary diversity and infant outcome of pregnant women in Northern Ghana. International Journal of Child Health and Nutrition. 2013;1(2):148-56. [DOI:10.6000/1929-4247.2012.01.02.6]
6. Gluckman PD, Hanson MA, Pinal C. The developmental origins of adult disease. Maternal & child nutrition. 2005;1(3):130-41. [DOI:10.1111/j.1740-8709.2005.00020.x]
7. Worku BN, Abessa TG, Wondafrash M, Vanvuchelen M, Bruckers L, Kolsteren P, et al. The relationship of undernutrition/psychosocial factors and developmental outcomes of children in extreme poverty in Ethiopia. BMC pediatrics. 2018;18(1):45. [DOI:10.1186/s12887-018-1009-y]
8. Chen L-W, Aris IM, Bernard JY, Tint M-T, Colega M, Gluckman PD, et al. Associations of maternal macronutrient intake during pregnancy with infant BMI peak characteristics and childhood BMI-3. The American journal of clinical nutrition. 2017;105(3):705-13. [DOI:10.3945/ajcn.116.148270]
9. Chen L-W, Aris IM, Bernard JY, Tint M-T, Chia A, Colega M, et al. Associations of maternal dietary patterns during pregnancy with offspring adiposity from birth until 54 months of age. Nutrients. 2016;9(1):2. [DOI:10.3390/nu9010002]
10. Delvarianzadeh M, Ebrahimi H, BOLBOL HN. Surveying pregnant women's nutritional status and some factors affecting it; in cases referring to Shahrood health-care centers. 2007.
11. Saeed A, Raana T, Saeed AM, Humayun A. Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort. Nutrition journal.2015;15(64):1-9. [DOI:10.1186/s12937-016-0184-7]
12. Farahaninia M, Farahaninia S, Chamari M, Haghani H. Nutritional pattern of pregnant women attending to health centers affiliated to Tehran university of medical sciences. Iran Journal of Nursing. 2013;25(80):34-45.
13. Saboor H, Hoseinnejad A, Maghbooli J, Larijani B. Effect of calcium and vitamin D intake on maternal and neonatal anthropometric parameters. Scientific Journal of Kurdistan University of Medical Sciences. 2007;12(1):26-31.
14. Hashemipour S, Khoeiniha MH, Esmailzadehha N, Danehvash S, Abotorabi S. Association of pregnancy hypocalcemia and neonatal growth indices. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;20(12):17-22.
15. Rezazadeh A, Omidvar N, Eini-Zinab H, Ghazi-Tabatabaie M, Majdzadeh R, Ghavamzadeh S, et al. Major dietary patterns in relation to demographic and socio-economic status and food insecurity in two Iranian ethnic groups living in Urmia, Iran. Public health nutrition. 2016;19(18):3337-48. [DOI:10.1017/S1368980016001634]
16. Salehiniya H, Mohamadkhani SL, Sabet BS. Relationship of maternal serum magnesium levels and the incidence of low-birth-weight infants: a case-control study. Journal of Isfahan Medical School. 2014; 32(282):507-513.
17. godfrey K, Robinson S, Barker D, Osmond C, Cox V. Maternal nutrition in early and late pregnancy in relation to placental and fetal growth. Bmj. 1996;312(7028):410. [DOI:10.1136/bmj.312.7028.410]
18. Ghafarpour M, A. Houshiar-Rad, and H. Kianfar, . the manual for household measures, cooking yields factors and edible portion of food Tehran: Keshavarzi Press; 1999.
19. Mani I, Dwarkanath P, Thomas T, Thomas A, Kurpad AV. Maternal fat and fatty acid intake and birth outcomes in a South Indian population. International journal of epidemiology. 2016;45(2):523-31. [DOI:10.1093/ije/dyw010]
20. Pereira-da-Silva L, Cabo C, Moreira AC, Virella D, Guerra T, Camoes T, et al. The adjusted effect of maternal body mass index, energy and macronutrient intakes during pregnancy, and gestational weight gain on body composition of full-term neonates. American journal of perinatology. 2014;31(10):875-82. [DOI:10.1055/s-0033-1363502]
21. Grootendorst-van Mil NH, Tiemeier H, Steenweg-de Graaff J, Koletzko B, Demmelmair H, Jaddoe VW, et al. Maternal plasma n-3 and n-6 polyunsaturated fatty acids during pregnancy and features of fetal health: Fetal growth velocity, birth weight and duration of pregnancy. Clinical Nutrition. 2018; 37(4):1367-74 [DOI:10.1016/j.clnu.2017.06.010]
22. Crume TL, Brinton JT, Shapiro A, Kaar J, Glueck DH, Siega-Riz AM, et al. Maternal dietary intake during pregnancy and offspring body composition: The Healthy Start Study. American Journal of Obstetrics and Gynecology. 2016;215(5):609. e1-. e8. [DOI:10.1016/j.ajog.2016.06.035]
23. Hjertholm KG, Iversen PO, Holmboe-Ottesen G, Mdala I, Munthali A, Maleta K, et al. Maternal dietary intake during pregnancy and its association to birth size in rural Malawi: A cross-sectional study. Maternal & child nutrition. 2017. [DOI:10.1111/mcn.12433]
24. Kizirian N, Markovic T, Muirhead R, Brodie S, Garnett S, Louie J, et al. Macronutrient balance and dietary glycemic index in pregnancy predict neonatal body composition. Nutrients. 2016;8(5):270. [DOI:10.3390/nu8050270]
25. Horan MK, McGowan CA, Gibney ER, Donnelly JM, McAuliffe FM. The association between maternal dietary micronutrient intake and neonatal anthropometry-secondary analysis from the ROLO study. Nutrition journal. 2015;14(1):105. [DOI:10.1186/s12937-015-0095-z]
26. Alomaim H, Griffin P, Swist E, Plouffe LJ, Vandeloo M, Demonty I, et al. Dietary calcium affects body composition and lipid metabolism in rats. PloS one. 2019;14(1):e0210760. [DOI:10.1371/journal.pone.0210760]
27. Chang X, Shang Y, Liu Y, Li P, Wang Y, Liang A, et al. Effects of calcium supplementation during the pregnancy and early infancy stage on the body mass index and gut microbiota in the infants. Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]. 2018;52(6):642-6.
28. Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Mansouri A, Najafi M, Khodabande F. The effect of vitamin D and calcium plus vitamin D during pregnancy on pregnancy and birth outcomes: a randomized controlled trial. Journal of caring sciences. 2015;4(1):35.
29. Zarean E, Tarjan A. Effect of magnesium supplement on pregnancy outcomes: a randomized control trial. Advanced biomedical research. 2017; 31;6:109 [DOI:10.4103/2277-9175.213879]
30. Grieger J, Clifton V. A review of the impact of dietary intakes in human pregnancy on infant birthweight. Nutrients. 2015;7(1):153-78. [DOI:10.3390/nu7010153]
31. Timmermans S, Jaddoe VW, Hofman A, Steegers-Theunissen RP, Steegers EA. Periconception folic acid supplementation, fetal growth and the risks of low birth weight and preterm birth: the Generation R Study. British Journal of Nutrition. 2009;102(5):777-85. [DOI:10.1017/S0007114509288994]
32. Namdari M, Abadi A, Taheri SM, Rezaei M, Kalantari N, Omidvar N. Effect of folic acid on appetite in children: Ordinal logistic and fuzzy logistic regressions. Nutrition. 2014;30(3):274-8. [DOI:10.1016/j.nut.2013.08.008]
33. Bellows L, Moore R, Anderson J, Young L. Water-soluble vitamins: B-complex and vitamin C. Food and nutrition series Health; no 9312. 2012.

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